Arkansas Workers' Compensation Information



Please Note: for Claims assistance or questions about coverage and exemptions You will need to call one of the numbers listed below.

Also be aware that the Workers' Compensation Assistance Offices in different states may go by different names such as "Industrial Accidents".
These are the only numbers that we are aware of and have available for Arkansas Workers' Compensation.

Arkansas Workers' Compensation Telephone Directory


Clerk of the Commission: 501-682-2519

Workers' Compensation Commission: 501-682-3930

WCC Springdale Office - Toll Free: 800-852-5376

Special Funds: 501-682-2771

Adjudication Division: 501-682-3930

Administrative Services Division: 501-682-2615

Executive Offices: 501-371-2500

Workers' Compensation Contact - Forms 1,C, M: 501-682-2774

Full Commission: 501-683-3406

Information Technology Division: 501-682-2719

Library - Fax Number: 501-682-2048

Medical Cost Containment Division: 501-682-2673

Operations & Compliance Division: 501-682-2616

Workers' Compensation Commission - Toll Free: 800-622-4472

Workers' Comp. Contact - Form S, 5, Form 2 extension, Form 3 Medical Reports: 501-682-2497

Workers' Compensation Contact - Form D, V: 501-682-5262

Workers' Compensation Contact - Form L: 501-682-2694

Workers' Compensation - Form O: 501-682-2064

Workers' Compensation Contact - Form 2: 501-682-2668

Workers' Compensation Contact - Form 4: 501-682-2641

AWCC Voluntary Drug Free Workplace Program: 501-682-2063

AWCC Voluntary Drug Free Workplace Program - Toll Free : 800-822-4472

Administrative Assistant to Administrative Law Judge Eric Wells -TF & Email Address: 800-852-5376

Legal Advisor Direct - Toll Free: 800-250-2511

Administrative Assistant to Administrative Law Judge Terry Lucy - Email Address: 501-682-5087

Administrative Assistant to Administrative Law Judge Micheal Pickens - Email Address: 501-682-5036

Administrative Assistant to Administrative Law Judge Joseph C. Self - Email Address: 800-852-5376

Administrative Assistant to Administrative Law Judge Stewart - Email Address: 800-852-5376

Administrative Assistant to Chief Administrative Law Judge O. Milton Fine II - Email : 501-682-3540

Administrative Assistant to Administrative Law Judge Katie Anderson - Email Address: 501-682-2210

Administrative Assistant to Administrative Law Judge Chandra Black - Email Address: 501-682-5092

WCC Springdale Office : 479-756-5960

Fraud (Criminal Investigation): 866-660-0888

Electronic Data Interchange (EDI) - Toll Free: 800-622-4472

Electronic Data Interchange (EDI): 501-682-3930

Insurance Department Commissioner Alan McClain - Main Number: 501-371-2600

Insurance Department - Toll Free Number: 800-282-9134

Mine Safety & Health Training: 501-690-8968

Department of Safety & Health (ADOSH): 501-690-5271

OSHA - Little Rock Area Ofc. - Federal OSHA covers private Employers/Employees in AR: 501-224-1841

Forms & Publications


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Some "Revision Dates" may be displayed as part of the Description.

(form1) First Report of Injury or Illness 1/02
(form1 RD) Form 1 Required Data. 1/13
(form2) Employer Intent to Accept or Controvert Claim 1/13
(form2 RD) Form 2 Required Data 1/1/13
(form3) Physician's Report 1/01
(form4) Report of Compensation Paid/Suspension Report 1/11
(form4 RD) Form 4 Required Data 1/13
(forma) Application for Certificate of Non Coverage 1/08
(forma s) Application for Certificate of Non-Coverage Required Notary Statement 1/08
(formc) Claim for Compensation 6/14
(formcsp) Claim for Compensation (Spanish) 8/06
(formd) Death and Permanent Total Disability Acceptance/Update 1/01
(formd RD) Form D Required Data N/D
(forml) Lump Sum Request/Respondent's Position 1/01
(formm) Monthly Medical-Only Injury Data 1/01
(formo) Claim Office / Medical Billing / Administrator / Underwriter Designation Form 7/17
(formr) Report of Mediation Conference 1/01
(forms) Supplemental Report 1/01
(formv) Verification of Permanent-Total Disability 1/01
(formw) Wage Statement 1/01
(formhs-31a) Application for Approved Professional Safety Source (APSS) and/or Field Safety Representative (FSR) 1/08
(formhs-31c) Accident Prevention Services Annual Report 7/10
(formhs-31d) Accident Prevention Services Worksheet 7/10
(formhs-31-e) List of FSR/APSS 1/01
(formhs-32a) Hazard Survey Report 1/08
Health and Safety Plan Cover Sheet 1/08
(formhs-32-c) Notification of Potential Error 1/01
(formhs-36a) Voluntary Drug-Free Workplace Program Application 7/10
(formhs-36b) Voluntary Drug-Free Workplace Program Annual Insurance Carrier Report 1/08
(formsi-1) Individual Self-Insurer Application 8/06
(formsi-11) Group Self-Insurance Application 8/06
(formsi-12) Application for Membership in a Group 8/06
(formsi-tpa) Third-Party Administrator Application / Registration 9/19
(mileage) Medical Mileage Worksheet N/D
(medrelease) Authorization for Release of Medical Records N/D

Rule 1 Commission Location and Sessions

Rule 2 Rulemaking Procedure

Rule 3 Carrier Reporting Requirement

Rule 4 Termination Of Coverage By Insurance Carrier: Employer To Obtain New Coverage

Rule 5 Self-Insurance Program

Rule 6 Non-Statutory Employers Elective Coverage

Rule 7 Posting Required Notice

Rule 8 Reporting Injuries or Deaths

Rule 9 Weekly Benefit Waiting Period

Rule 10 Separate Check Payment, Attorneys Fees

Rule 11 Jurisdiction, Remands & Mandates

Rule 12 Compensation, Finger Amputation

Rule 13 Commission Hearings & Administrative Law Judges

Rule 14 Physicians Testimony & Reports

Rule 15 Pretrial Conferences

Rule 16 Depositions

Rule 17 Oral Arguments

Rule 18 Filings With the Commission or Appellate Courts

Rule 19 Joint Petition Settlements

Rule 20 Reporting Costs, Transcription Costs, Witness Fees

Rule 21 Treatment at Veterans Hospitals

Rule 22 Replacement of Prosthesis

Rule 23 Deviation From Rules

Rule 24 Second Injury Fund Claims

Rule 25 Scope of Review on Appeal

Rule 26 Conferences with Legal Advisor

Rule 27 Medical Reports

Rule 28 Death/PTD Trust Fund Claims

Rule 29 Designated Claim Office / Administrator / Underwriter

Rule 30 Medical Cost Containment Program (Part 1-6)

Rule 31 Accident Prevention Services (I-X)

Rule 32 Hazardous Employer Program (I-XI)

Rule 33 Managed Care (I-XIX)

Rule 34 Impairment Rating Guide

Rule 35 Electronic Data Interchange Filings (I-VI)

Rule 36 A Voluntary Program For Drug-Free Workplaces (I-XVII)

Rule 37 Occupational Carpal Tunnel Syndrome

Rule 38 Third Party Administrators

Rule 39 Filing Requirements / Report Cards / Sanctions

Rule 40 Carrier Premium Tax Auditing

Rule 41 Arkansas Workers' Compensation Drug Formulary

Title 11 Labor and Industrial Relations Chapter 1 Subchapter 2 Empower Independent Contractors Act of 2019. [Effective 91 days after final adjournment of the 2019 Regular Session.]

Title 11 Labor and Industrial Relations Chapter 9 Workers' Compensation